Is S72.499K a billable ICD-10-CM code?

Yes. S72.499K is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S72.499K sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).

S72.499K

S72.499K — Other fracture of lower end of unspecified femur, subsequent encounter for closed fracture with nonunion

Billable / specific codeICD-10-CMPOA exempt

S72.499K is a billable, specific ICD-10-CM code for other fracture of lower end of unspecified femur, subsequent encounter for closed fracture with nonunion. It is valid for submission on a claim.

7th character "K" — subsequent encounter for closed fracture with nonunion

The appropriate 7th character is to be added to all codes from category S72

A: initial encounter for closed fracture
B: initial encounter for open fracture type I or II
C: initial encounter for open fracture type IIIA, IIIB, or IIIC
D: subsequent encounter for closed fracture with routine healing
E: subsequent encounter for open fracture type I or II with routine healing
F: subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
G: subsequent encounter for closed fracture with delayed healing
H: subsequent encounter for open fracture type I or II with delayed healing
J: subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
K: subsequent encounter for closed fracture with nonunion
M: subsequent encounter for open fracture type I or II with nonunion
N: subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
P: subsequent encounter for closed fracture with malunion
Q: subsequent encounter for open fracture type I or II with malunion
R: subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S: sequela

Risk adjustment

S72.499K does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Related codes at this level

Codes that share S72.499. If S72.499K is not quite right, the correct code is usually one of these.

Questions about S72.499K

Is S72.499K a billable ICD-10-CM code?: Yes. S72.499K is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S72.499K sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).